flexTPA
Congratulations - You have finally sold that large group. You know they made the right choice. But now you have to deliver the timely billing, claims and customer service you promised.
Unfortunately, your current legacy system just won't make the cut. The overhead involved in servicing this new account will be a killer - more staff, more paper work and more aggravation!
Relax - because Microtrends now has the high-efficiency solution to your Billing, Claims and Group Service needs.
Our flexTPA Group Administration System is set to revolutionize how you do business - are you ready?
flexTPA
flexTPA is all about options, flexibility and customizability. The system is built around an enterprise-level architecture which means it's open, scaleable and adaptable. It will work for you today and in the future.
Administrators now have full control over the ultimate design, deployment and management of flexible benefit cafeteria plans - adding Administrative Services Only (ASO) in any combination.
You can be assured that support for any mandated billing, claims and service requirements - no matter how unusual is now possible with flexTPA.
flexTPA
Increase Overall Efficiency
Lower Operation Costs
Raise Service Levels
Boost Productivity and Margins
Integrate New Technology
Create Competitive Advantage
flexTPA letting you focus on the benefits of innovation not administration.
flexTPA
flexTPA supports the following core business processes:
Benefit Plan Development - framework for creation and maintenance of unlimited group plans. Multiple divisions with various class rates and coverage options
Employee Enrollment & Administration - manage entry and change of employee info based on master group or divisional class rules, plus auto-terminate options and retro-active adjustments
Group Billing Operations - automates group billing with customizable division output based on various class or rate rules, adjustment factors and ASO needs
Claims Verification - validate employee coverage and track claims data.
Systems Integration - use flexTPA Web Portal for Group Self-Service, plus Accounting via QuickBooksTM, Carrier Eligibility Data Export, Claims Payer Results Import, Export and Import Data to and from HR / Payroll Systems
flexTPA
flexTPA is an integrated and complete database. With the latest in MicrosoftTM technologies, the software offers you the following capabilities:
Unlimited groups, divisions per group, employees per division, benefits per group and classes per benefit
Benefit definition includes carrier info, effective dates, net rates, user fees, coverage options, round off options, admin fees, commission structures
Class definitions include multiple options to calculate coverage, related maximums, terminations, and multiple rate calculations with deductions or conditional age-bands
Division contains demographics, multiple provincial benefits each benefit with multiple classes and effective dates, billing history, review next billing, admin fee application rules including ASO
Employee includes demographics, dependent and beneficiary data, active benefits, premiums and taxes, claims history, correspondence and change history
flexTPA
Billing and General Accounting is made easy with a powerful combination of flexTPA and QuickBooksTM from Intuit, the leader in small business accounting.
Through flexTPA, you perform:
Automatic billing services configured by date, time of day and group
Produce Single Group Statement or Separate Billing Statement for each Group Division
Automatic detection and calculation of Retroactive Adjustments
Apply Administration Fees as Benefit Percentage, Flat Fee or Cost Plus
Preview Current Billing or Review Prior Billing History on-demand
ASO Claims input per division benefit.
Management Reporting & Analysis by group, division or employee
Through QuickBooksTM, you perform:
Accounts Receivable by group or division with payment application
Accounts Payable by insurance carrier or claims payer
Financial Reporting & Analysis with comprehensive reporting and views
flexTPA
You have two powerful flexTPA configurations to choose from:
Professional Suite
Our Base System with all the key features and processes required for success including Integration with QuickBooksTM.
Enterprise Suite
Enterprise offers Professional Suite functionality PLUS flexTPA Web Portal, Eligibility and Claims Data Exchange, HR Payroll Interface, Business Process Analysis, Executive Information System and Platinum Support
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